Mary B Schultz, D.C.
Individual provider Active NPI Chiropractor · Iola, WI
NPI 1992706592 · NPPES record last updated Jun 4, 2012
Key facts
- NPI
- 1992706592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2569 (WI)
- Practice address
- 310 N Main St
Iola, WI 54945-9492 - Phone
- (715) 445-4002
- Fax
- (715) 445-4390
- NPI assigned
- Aug 3, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
310 N Main St
Iola, WI 54945-9492
Phone (715) 445-4002
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101209000307 | WI | Practitioner - Chiropractic | 6507053055 | Practice locations: Iola, WI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2569 | WI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2569 | WI | Yes |
Addresses
Primary practice location
310 N Main St
Iola, WI 54945-9492
Mailing address
N9320 State Road 49
Iola, WI 54945-9424
Phone (715) 445-4777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38845000 | Medicaid | WI |
Other providers in Iola, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.